Question
| Results
| Outcomes
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| How does the Lupus Carer deal with their own feelings of loss of expectations?
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- Learn to live with it
- Re-evaluate you plans/aims
- Maybe part-time job
- Learn to pace yourself - physically and mentally
- Assess priorities :
- manage others in family - children
- manage finances
- Accept the reality and adjust/explore alternatives
- Home help - house cleaner etc
- Get help where you need it :
- Time off
- Exercise
- Mental health
- Talk to other carers
- Be willing to accept help
- Recognise that you need help and talk about it
- Communicate with other like groups/carers
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- Accept reality/explore options
- Learn to ask for and accept help
- Communicate with other carers/groups etc as support is paramount
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Carers of Mothers -
How does Lupus and its constantly changing manifestations affect you as a carer? (ie. Changing signs and symptoms etc)
(Although we don't yet consider ourselves full-blown carers as yet!)
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- Emotional rollercoaster
- correlated to lupus PT's health
- Frustrations due to patient's non-sharing of their experiences/fears
- Sense of helplessness - where patients wear themselves out being independent
- Limited life-style/activities - indoors rather than beach, gardening
- Guilty feelings - imposed on carer by patient (and vice versa)
- Constantly seeking medical advise for different newly pronounced problems eg. gastroenterologist, immunologist, oncologist etc
- Fearful - re possibility of genetic susceptibility
- Restricted with regards to what you are/should say/do
- Optimistic - after attending today's seminar ie. perspective!
- Confusion - What is a Lupus symptom? What is not a Lupus symptom? Does it matter??!!
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- Emotional rollercoaster
- Frustrated
- Helplessness
- Guilty
- Acceptance
- Be positive and optimistic
- Learn to accept and limit lifestyle to changing manifestation
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What are the communications issues for Lupus patient's carers?
COMMUNICATION - What is Lupus?
|
- Child
- Anger - 2 way
- Privacy - 2 way
- Need to have your time and let them know
- Provide emotional support - 2 way
- Flare-ups
- Step back - need to stop the circle
- Fear
- Agencies
- Lack of recognition of lupus as an "illness" - intermittent nature
- No prognosis - no payment
- No health-care card - children under 16, over 25
- Doctors
- Don't know (GP)
- Need to find a doctor that understands Lupus
- Information on medication and side-effects (chemists more helpful than doctor) books
- Others
- family
- friends
- doesn't look sick
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- Child
- Learn to cope with anger
- Give each other space and privacy
- Agencies
- Doctors
- Finding/sharing a doctor who really understands Lupus
- Others
- Different communication issues for family, friends etc
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HELP Agencies - How can the Lupus Group assist you?
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- Help Raise Awareness :
- General public, family, carers, patient
- Pamphlet on "what is Lupus" for family/friends
- How to help your carer - pamphlet
- Emergency telephone counseling - patient and carer - suicidal - Lupus
- Help Network, support group for carers, patients - young
- Mentor program
- What clinics?
- How access?
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- Support Lupus Group
- To help in raising awareness
- Increase networking opportunities
- Facilitate mentor programs
- Develop carer pamphlet
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What techniques do you use to stay positive when things get difficult?
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- Immediate response sometimes volatile : take a breath,
- Choosing the right words
- Listen, allow the rage or talk, try to understand the problem so you know what you're facing
- Give the carer quality time, of yourself
- Talk in a controlled calm way in response to patient even if they are angry so you defuse the situation
- Regular conferences between carer and patient
- To bring up issues and final resolve when you are not tired or too busy
- Approach gently, perhaps a hug or touch on the shoulder, speak directly and calm, tell me what is happening - will we discuss this now or plan it for later
- A massage, to release tension that has occurred due to a problem, can ease the stress so that communication is possible. If you are not allowed into their personal space, say "kick your shoes off and I'll give you a soothing foot rub".
- Looking at the difficulty - finding resolve and following the process to the outcome being in some way positive. This strategy may be difficult, however in time will become easier.
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- Choose the right words with calmness
- Step back and take a breath before communicating
- Spend time talking in a crisis
- Massage
- Look at the difficulty but stay positive
- Talk to each other regularly
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